A man in his late 50’s presented with generalised lethargy and low-grade fever for 3 days. He had a history of pulmonary tuberculosis 20 years ago, and had completed a 9-month course of therapy. The only other significant history was that of alcoholism and smoking. He was found to be hypotensive at the Emergency Department […]

A middle-aged man (in his fifties) presented with recurrent right upper quadrant abdominal pain for 5 weeks, associated with nausea, night sweats and low-grade fever. His work involved frequent travel to Indonesia, China and parts of Latin America, although mainly confined to the big cities rather than to rural parts of these countries. He had […]